| NPI | 1558778449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY L MAREK Licensed Athletic Trainer 775-530-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NV 0506007) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2014-07-13 |